NPIMap

Organization Active NPI

Evolve Performance & Wellness a Diaz Chiropractic Professional Cor

  • Chiropractor
  • Auburn, CA
National Provider Identifier
1366138893
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EVOLVE PERFORMANCE & WELLNESS A DIAZ CHIROPRACTIC PROFESSIONAL COR
Practice address
3720 Grass Valley Hwy Ste B
Auburn, CA 95602-2002
Phone
(530) 488-0188
NPI assigned
Apr 17, 2023
Last updated
May 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Danielle Elizabeth Diaz, DCNPI 1215583398
Title
Owner
Phone
(530) 488-0188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3720 Grass Valley Hwy Ste B
Auburn, CA 95602-2002

Mailing address

PO Box 4558
Auburn, CA 95604-4558
Phone (530) 488-0188

National Provider Directory

National Provider Directory

Locations

3720 Grass Valley Hwy
Ste B
Auburn, CA 95602
Phone (530) 488-0188

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1366138893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4558",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956044558",
            "telephone_number": "530-488-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 GRASS VALLEY HWY STE B",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022002",
            "telephone_number": "530-488-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE PERFORMANCE & WELLNESS A DIAZ CHIROPRACTIC PROFESSIONAL COR",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-488-0188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.